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55497 Van Buren St Thermal CA 92274-9412 | |
(760) 399-4526 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 55497 Van Buren St, Thermal, California |
Authorized Official Name and Position | Judy Stith (CFO) |
Authorized Official Contact | 7609694516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1695 N Sunrise Way Palm Springs CA 92262-3701 Ph: (760) 323-2118 | 55497 Van Buren St Thermal CA 92274-9412 Ph: (760) 399-4526 |
NPI Number | 1548955230 |
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Provider Enumeration Date | 04/07/2023 |
Last Update Date | 07/05/2023 |
Identifier | Type | State | Issuer |
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1548955230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |